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Our study demonstrates that a standardised surgical clerking proformas improves the quantity and quality of documentation in comparison to freehand clerking, is preferred by health professionals and improves reliability of the audit quality control process.
The method addresses three different dimensions: (1) Quality management, which evaluates the fulfilment of Users Requirements, and the Users' satisfaction with the existing functions; (2) Usability assessment, which includes a Usability inspection, and a Usability test; (3) Performance evaluation, which assesses the exhaustiveness and quality of documentation.
We first reviewed the medical records of patients who screened positive for IPV, evaluating the presence and quality of documentation.
Suboptimal completeness and quality of documentation of individual case-sheets however precluded their use for any cross-verification.
Key performance indicators included proportion of people receiving adequate secondary prophylaxis (≥80% of scheduled 4-weekly penicillin injections) and quality of documentation.
Quality of care and quality of documentation ratings were subjectively rated by participants: limitations include differing personal definitions of quality and variation in expectations of SR.
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Researchers and practitioners have expressed concerns about costs, benefits and quality of software documentation in practice.
We describe the presence and quality of MRH documentation for patients admitted to a London teaching hospital due to MRH.
Standardised nursing terminologies used in electronic healthcare records (EHRs) are important to improve content and quality of nursing documentation [ 1, 2].
The introduction of continuous speech systems - which allow the user to speak in his/her normal vernacular and rate of speech - has increased the potential that this technology can enhance the efficiency and quality of creating documentation without negatively impacting the user's time.
Delivery of other interventions recommended in guidelines was often low (see Table 4) and the quality of documentation in the health record regarding the intervention and follow up management plan was often poor and incomplete.
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